Integrating CBT to Treat Eating Disorders into a DBT Program

Zanarini et al (2004) reported that 58.3% of people meeting criteria for BPD also meet criteria for at least one eating disorder. DBT programs, therefore, have a high percentage of multiple-problem clients who meet criteria for eating disorders. Because DBT is a Cognitive Behavioral Treatment, providing eating disorders treatment in the context of a DBT program is possible with minimal adaptations. This course is designed to strengthen the CBT skills of DBT therapists treating concurrent eating disordered behaviors and borderline personality disorder while teaching the specific CBT strategies that are effective when targeting eating disorders. This course will include weekly reading assignments and homework.

Describe typical issues that affect clients and the therapy with eating disorders.

Tuition:

$225 per person

Register online at www.ticllc.org and click on Trainings & Events. All registration information and payments are due no later than September 18, 2012.

CE Information:

Continuing Education credit for psychologists is being offered through Consolidated Continuing Education and Professional Training (CONCEPT). There is an additional fee of $50 for the CE credits. This course is worth 8 CE credits. Please click here to register for CE credits.

Refunds & Substitutions:

If you need to substitute a colleague to take your place or cancel a registration, please contact TIC at cbest@ticllc.org no later than September 2, 2012. We will refund your registration fees, minus $50 – we understand that life happens when you are making other plans and we want to be accommodating. No substitutions or refunds will be made once the course begins.

This is a new continuing education course that is being offered by the Treatment Implementation Collaborative on integrating CBT into a DBT program for the treatment of eating disorders.
Zanarini et al (2004) reported that 58.3% of people meeting criteria for BPD also meet criteria for at least one eating disorder. DBT programs, therefore, have a high percentage of multiple-problem clients who meet criteria for eating disorders. Because DBT is a Cognitive Behavioral Treatment, providing eating disorders treatment in the context of a DBT program is possible with minimal adaptations. This course is designed to strengthen the CBT skills of DBT therapists treating concurrent eating disordered behaviors and borderline personality disorder while teaching the specific CBT strategies that are effective when targeting eating disorders. This course will include weekly reading assignments and homework.
Dates:
8-week Online Video-based Classes
September 20 – November 8, 2012
Thursdays from 10-11am (West coast); 12-1pm (Central); 1-2pm (East coast)
Classes will be recorded. Missed classes can be viewed after the class occurs.
Instructor:
Lucene Wisniewski, PhD
Prerequisites:
Familiarity and/or training in DBT.
Currently seeing a client experiencing eating disorder behavior.
Submission of a one-page summary of a client with eating disorder behavior (redacted to preserve confidentiality).
Required Materials:
This course will have weekly readings from:
Waller, G., Cordery, H., Corstorphine, E., Henrichsen, H., Lawson, R., Mountford, V., & Russell, K. (2007). Cognitive-behavioral therapy for eating disorders: A comprehensive treatment guide. Cambridge, UK: Cambridge University Press.
Dancyger, I. & Fornari, V. (2009). Evidence based treatments for eating disorders: Children, adolescent and adults. Hauppague, NY: Nova Science Publishers.
Topics for the course include:
Week 1: Overview of Eating Disorders: Diagnosis and Assessment
Week 2: Overview of Eating Disorders: Treatment Issues
How DBT and CBT work together
CBT as the empirically supported treatment of choice for ED’s
Using DBT language and skills without compromising CBT
Creating behavioral targets
Using ED/DBT diary card
Week 3: Getting Started with CBT for Eating Disorders Part I
Establishing the therapeutic relationship
Introducing self-monitoring to the client
Weekly weigh-ins
Educating the client about weight and eating
Prescribing regular eating patterns
Teaching self-control strategies (DBT Skills and strategies)
Week 4: Getting Started with CBT for Eating Disorders Part II
Evaluating and treating medication compliance issues
Enhancing motivation for change
Using behavioral chain analysis
Behavioral strategies for addressing shape and weight concerns
Week 5: Getting Started with CBT for Eating Disorder Part III
Teaching problem solving skills
Exposure for feared foods
In-session coaching
Cognitive-restructuring
Week 6: Is your client responding to treatment of Eating Disorders? Monitoring and making progress
What does progress look like and how to assess it?
How do I know if the progress is enough: Dialectics and progress
Staying the course
Using contingencies to focus on ED’s
Managing the urge to talk about non-ED targets when ED is severe
Therapy interfering behavior (continue Week 7 if necessary)
Commitment and recommitment to ED targets
When to refer to a higher level of care
Week 7: DBT Specific Treatment and Eating Disorders
Research on DBT and ED
Models of DBT for EDs
Adaptations
Invalidating environment
Diary Card
Telephone coaching
Treatment targets
Therapy interfering behaviors specific to ED’s
Communication
i. Consultation team
ii. Consultation-to-the-patient
Week 8: Special issues in working with Eating Disorders
Course Objectives:
Following this 8 hour Online Video Course, participants will be able to:
List diagnosis and assessment instruments for eating disorders
Describe how CBT and DBT work together in ED treatment
Create behavioral targets for eating disorders
Create and use diary cards for targeting eating disorders
Educate clients (and others) on weight and eating
Teach DBT skills and other self-regulating strategies
Conduct behavioral chain analysis for eating disordered behaviors
Use CBT strategies of exposure, problem solving and cognitive restructuring for food and weight
Provide in-session coaching to clients
Treat therapy interfering behaviors with clients with eating disorders
Assess progress with clients as they go through treatment
Utilize contingency management for eating disorders
Discuss the modifications to standard DBT for eating disorders
Describe typical issues that affect clients and the therapy with eating disorders.
Tuition:
$225 per person
Register online at www.ticllc.org and click on Trainings & Events. All registration information and payments are due no later than September 18, 2012.
CE Information:
Continuing Education credit for psychologists is being offered through Consolidated Continuing Education and Professional Training (CONCEPT). There is an additional fee of $50 for the CE credits. This course is worth 8 CE credits. Please click here to register for CE credits.
Refunds & Substitutions:
If you need to substitute a colleague to take your place or cancel a registration, please contact TIC at cbest@ticllc.org no later than September 2, 2012. We will refund your registration fees, minus $50 – we understand that life happens when you are making other plans and we want to be accommodating. No substitutions or refunds will be made once the course begins.
Technical Requirements:
A telephone (landline or cell), preferably with a headset
A computer with internet access and an email address
A webcam is preferred
Path: